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DR. NEETHA DHANANJAYA M.D.
NPI 1720058639
Internal Medicine - Nephrology in Melrose Park, IL

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
675 W NORTH AVE STE 309, MELROSE PARK, IL 60160(312) 654-2744(866) 954-5804 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2024, Oct 9, 2018 (2 updates tracked since 2018).

About Dr. Neetha Dhananjaya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NEETHA DHANANJAYA M.D. (NPI 1720058639) is an individual nephrology provider in Melrose Park, Illinois, licensed in Illinois (036108649) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1720058639
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NEETHA DHANANJAYACredential: M.D.
Location Address675 W NORTH AVE STE 309Melrose Park, IL 60160-1623
Mailing Address210 S Desplaines StChicago, IL 60661-5500 · (312) 654-2700 · Fax (312) 654-9930
Phone(312) 654-2744
Fax(866) 954-5804
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 24, 2006
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1720058639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036108649
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
675 W NORTH AVE STE 309, Melrose Park, IL 60160
Open in Google Maps ↗

Other Identifiers 1

Medicaid036108649IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neetha Dhananjaya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254355324
PECOS Enrollment IDI20060117000742
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Neetha Dhananjaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associates In Nephrology, S.C.
10 mi
Nephrology
210 S DESPLAINES ST
Chicago, IL 60661
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associates In Nephrology Sc
  • 55 clinicians in this Medicare group
NPI 1184694259 (312) 654-2721

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
880 services141 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
172 services81 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
121 services43 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
100 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services64 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140008
Location701 West North AveMelrose Park, IL 60160 · Cook County
Emergency services

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIZWAN K MOINUDDIN DO
Internal Medicine (Nephrology)
675 W NORTH AVE STE 309
MELROSE PARK, IL 60160
Cook County (312) 654-2744
S J HASANAIN M D P C
Internal Medicine (Cardiovascular Disease)
675 W NORTH AVE STE 309
MELROSE PARK, IL 60160
Cook County (708) 450-5757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neetha Dhananjaya's NPI number?

The NPI number for Neetha Dhananjaya is 1720058639. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Neetha Dhananjaya located?

Neetha Dhananjaya practices at 675 W North Ave Ste 309, Melrose Park, IL 60160. The listed phone number is (312) 654-2744.

What is Neetha Dhananjaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Neetha Dhananjaya enrolled in Medicare?

Yes. Neetha Dhananjaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Neetha Dhananjaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neetha Dhananjaya reassigns Medicare benefits to Associates In Nephrology, S.C. (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neetha Dhananjaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neetha Dhananjaya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Neetha Dhananjaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Neetha Dhananjaya affiliated with any hospitals?

According to CMS data, Neetha Dhananjaya is affiliated with Loyola Gottlieb Memorial Hospital, Community First Medical Center and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Neetha Dhananjaya was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.